Individual provider Active NPI

Bernadette Santiago

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1710435508
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.012295 Issued in IL
Practice address
3325 N Arlington Heights Rd Ste 400C
Arlington Heights, IL 60004-1576
Phone
(312) 872-8210
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.012295 IL Primary

Addresses

Primary practice location

3325 N Arlington Heights Rd Ste 400C
Arlington Heights, IL 60004-1576

Mailing address

3325 N Arlington Heights Rd Ste 400C
Arlington Heights, IL 60004-1576
Phone (312) 872-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215003197 IL Practitioner - Mental Health Counselor 1951745181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artwell Therapy Center LLCGroup PAC ID 8224472444, 3 clinicians

Practice addresses (Care Compare)

3325 N Arlington Heights Rd
Suite 400C
Arlington Heights, IL 60004-1576
Phone (312) 872-8210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.012295ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Artwell Therapy Center L.L.C. CurrentSince Nov 1, 2022 Accepting new patients

Locations

3325 N Arlington Heights Rd
Ste 400C
Arlington Heights, IL 60004
Phone (312) 741-3511

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1710435508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N ARLINGTON HEIGHTS RD STE 400C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041576",
            "telephone_number": "312-872-8210",
            "fax_number": "847-680-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N ARLINGTON HEIGHTS RD STE 400C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041576",
            "telephone_number": "312-872-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.